Healthcare · head to head
Therapixel vs Visage Imaging
Therapixel
Healthcare
French mammography AI with FDA clearances for 2D and tomosynthesis breast screening
- From
- On request
- Rated
- -

Visage Imaging
Healthcare
Server-side streaming PACS built for radiologists reading very large studies over thin connections
- From
- On request
- Rated
- -
The short version
- Each has a real cost: Therapixel european and American regulatory positions were established under different regimes, and under the EU Medical Device Regulation this class of diagnostic AI faces a higher classification and notified body scrutiny, so European buyers must verify the current MDR certificate and expiry rather than relying on a legacy CE reference.; Visage Imaging pricing is per exam against a minimum annual volume, so an organisation whose imaging activity is flat pays a floor while a growing one sees the software line rise every year rather than amortise.
- They diverge on capability: Therapixel covers MammoScreen 2D, Visage Imaging covers Server-side rendering.
- Prices and features above were last checked on 1 September 2026.
Where they differ
Only the attributes on which Therapixel and Visage Imaging actually diverge.
| Attribute | Therapixel | Visage Imaging |
|---|---|---|
| Platforms | Web | Windows, macOS, Web, iOS, Cloud |
Identical on both: starting price (On request), pricing model (quote), free tier (No), user rating (Not yet rated), category (Healthcare).
What each one covers
Drawn from each product's published feature list. An absence here means we hold no record of it - not that the product lacks it.
Only in Therapixel
- MammoScreen 2D
- MammoScreen DBT
- One to ten suspicion score
- Summary report
- Workstation and PACS delivery
- Reading workflow configurations
Only in Visage Imaging
- Server-side rendering
- One Viewer
- Native multi-dimensional tools
- Digital breast tomosynthesis reading
- Open archive
- Cloud PACS operations
- AI accelerator
- On the fly patient jacket
What people use each for
The jobs each tool is most often brought in to do.
Therapixel
- A European breast screening programme running mandatory double reading that wants to evaluate AI as a concurrent or second reader within what national guidance permitsnot Visage Imaging
- An American breast centre that has moved to tomosynthesis and needs reading support on DBT specifically, which Therapixel holds a clearance fornot Visage Imaging
- A screening service wanting a graded suspicion score rather than a binary flag so readers can calibrate their own thresholdnot Visage Imaging
- A radiology group evaluating multiple mammography AI vendors head to head on their own historic case set before committingnot Visage Imaging
Visage Imaging
- An academic health system whose radiologists read from home and cannot tolerate a thousand slice CT taking minutes to opennot Therapixel
- A breast imaging service moving to tomosynthesis where study sizes have made the existing PACS unusable at volumenot Therapixel
- A teleradiology group covering many client sites that needs one viewer rather than a client-specific workstation per contractnot Therapixel
- A health system mid migration that needs priors from three legacy archives assembled into one patient jacket before the data move finishesnot Therapixel
Where each one falls short
Documented limitations, not opinions. Every one is a constraint you would hit in normal use.
Therapixel
- European and American regulatory positions were established under different regimes, and under the EU Medical Device Regulation this class of diagnostic AI faces a higher classification and notified body scrutiny, so European buyers must verify the current MDR certificate and expiry rather than relying on a legacy CE reference.
- MammoScreen does mammography only, so a hospital wanting AI across head CT, chest and breast needs several vendors and several PACS integrations, or an orchestration layer bought from someone else.
- Therapixel is a small French company competing against Hologic and iCAD, which have incumbency inside the mammography reading workstation, so integration into an American breast centre is more work than it is for the workstation vendor own AI.
- Detection performance is sensitive to the mammography unit vendor and acquisition protocol, so published results do not transfer between estates and each site needs local validation it must fund itself.
- Whether AI can substitute for one of two human readers is a national workforce and liability question, not a product capability, so the labour saving that justifies the purchase in one country is not permitted in another.
Visage Imaging
- Pricing is per exam against a minimum annual volume, so an organisation whose imaging activity is flat pays a floor while a growing one sees the software line rise every year rather than amortise.
- Module breadth outside radiology is narrower than at Sectra or the large modality vendors, so a group planning to digitise pathology on the same platform will not find it here.
- Server-side rendering shifts the cost to central infrastructure, so the saving on radiologist workstations is partly offset by what you spend on servers or cloud compute.
- Pro Medicus concentrates on very large contracts, and smaller imaging groups report long sales cycles and little appetite from the vendor for deals below a certain volume.
- Diagnostic AI is third party, surfaced through the accelerator framework rather than developed in house, so algorithm licensing, validation and monitoring remain the buyer problem.
Pricing, plan by plan
Therapixel
On request- MammoScreen$undefined/year
- Priced per examination or by annual screening volume
- 2D and tomosynthesis licensed by the versions cleared for each
- Cloud or on premises deployment quoted differently
Visage Imaging
On request- Visage 7 enterprise contract$undefined/year
- Transaction pricing per exam with a minimum annual volume commitment
- Seven to ten year terms typical for health system contracts
- Contract totals for major deals are disclosed by Pro Medicus to the ASX
Which should you pick?
Choose Visage Imaging if
- You need server-side rendering.
- You work on Windows, macOS, Web, iOS, Cloud.
- You also want one viewer.
Questions people ask
- Is Therapixel or Visage Imaging better?
- Neither clearly leads. Therapixel starts at On request and Visage Imaging at On request, and user ratings are close enough to be indistinguishable. Choose on capability and platform support.
- Which is cheaper, Therapixel or Visage Imaging?
- Therapixel starts at On request and Visage Imaging at On request.
- Does Therapixel or Visage Imaging run on more platforms?
- Therapixel runs on Web. Visage Imaging runs on Windows, macOS, Web, iOS, Cloud.
- What is Therapixel best used for?
- Therapixel is most often used for a european breast screening programme running mandatory double reading that wants to evaluate ai as a concurrent or second reader within what national guidance permits, an american breast centre that has moved to tomosynthesis and needs reading support on dbt specifically, which therapixel holds a clearance for, a screening service wanting a graded suspicion score rather than a binary flag so readers can calibrate their own threshold, a radiology group evaluating multiple mammography ai vendors head to head on their own historic case set before committing. Of those, a european breast screening programme running mandatory double reading that wants to evaluate ai as a concurrent or second reader within what national guidance permits and an american breast centre that has moved to tomosynthesis and needs reading support on dbt specifically, which therapixel holds a clearance for are not what Visage Imaging is typically brought in for.
- What can Therapixel do that Visage Imaging cannot?
- Therapixel covers MammoScreen 2D, MammoScreen DBT, One to ten suspicion score, Summary report. Visage Imaging covers Server-side rendering, One Viewer, Native multi-dimensional tools, Digital breast tomosynthesis reading.
Answered from the vendors’ own pages
Therapixel: Is MammoScreen FDA cleared?
Yes. It holds 510(k) clearance K192854 for two dimensional mammography from July 2020, a November 2021 clearance for digital breast tomosynthesis, and two further clearances in October 2024 for later versions.
Visage Imaging: Who owns Visage Imaging?
Pro Medicus Limited, listed on the Australian Securities Exchange. That listing means major contract values and terms are publicly announced.
Therapixel: Is it CE marked?
Yes, but European buyers should ask specifically for the current certificate under the Medical Device Regulation and its expiry date, because this class of diagnostic AI moved to a higher classification under MDR.
Visage Imaging: How is Visage priced?
Per exam, against a minimum annual volume, on multi-year terms. Because Pro Medicus discloses large contract totals and durations to the market, buyers can estimate a per exam rate before entering negotiation.
Therapixel: What does the one to ten score mean?
It is a graded suspicion score per finding and per study, designed to be integrated alongside a radiologist BI-RADS assessment rather than treated as a positive or negative result.
Visage Imaging: Is Visage 7 FDA cleared for diagnostic interpretation?
Yes, Visage 7 holds 510(k) clearance for diagnostic viewing including mammography and tomosynthesis on validated displays. Confirm the exact cleared modality list for your intended use.
Therapixel: Does it cover anything besides mammography?
No. It is a mammography product only, including tomosynthesis. Other body regions need a different vendor.
Visage Imaging: Does it work as a full cloud PACS?
Yes, Visage 7 runs complete PACS operations in the cloud rather than cloud viewing over an on-premise archive.
Related pages
More on Visage Imaging
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